Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GOOD SHEPHERD MANOR, INC
Active OrganizationGOOD SHEPHERD MANOR, INC is a Behavioral Health, Residential organization located in MOMENCE, Illinois. NPI 1700100971 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · MOMENCE, IL
Registration Details
- NPI Number
- 1700100971
- Provider Type
- Organization
- NPI Issued
- Mar 17, 2010 (16.432103245346 yrs)
- Last Updated
- Mar 17, 2010
- Licenses
-
0002865 (IL)6-374 (IL)
Practice Information
- Address
-
4129 N STATE ROUTES 1 & 17MOMENCE, IL, 609540260Browse IL providers · Browse ZIP 60954
- Phone
- 8154723700
- Fax
- 8154726086
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Behavioral Health, Residential
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.